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危重病与微生物群的作用。

Critical illness and the role of the microbiome.

作者信息

Otani Shunsuke, Chihade Deena B, Coopersmith Craig M

机构信息

Department of Surgery and Emory Critical Care Center Emory University School of Medicine Atlanta Georgia.

Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba Japan.

出版信息

Acute Med Surg. 2018 Dec 27;6(2):91-94. doi: 10.1002/ams2.383. eCollection 2019 Apr.

DOI:10.1002/ams2.383
PMID:30976432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6442526/
Abstract

The number of microbes living within the intestinal lumen is similar to the number of all cells of human origin in the host. Although historically little attention has been paid to the massive microbial community residing inside each of us, the last few years have witnessed an explosion of information related to the role of the microbiome in the maintenance of health and in the pathogenesis of disease. Here, we review data suggesting that the microbiome is converted into a pathobiome in critical illness and potential strategies for targeting the microbiome for therapeutic gain in the intensive care unit.

摘要

生活在肠腔内的微生物数量与宿主中所有人类源细胞的数量相似。尽管从历史上看,我们对寄居于每个人体内的庞大微生物群落关注甚少,但在过去几年中,与微生物组在维持健康和疾病发病机制中的作用相关的信息呈爆炸式增长。在此,我们综述相关数据,这些数据表明在危重病中微生物组会转变为病理微生物组,以及在重症监护病房针对微生物组以获得治疗益处的潜在策略。

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本文引用的文献

1
Use of standard enteral formula versus enteric formula with prebiotic content in nutrition therapy: A randomized controlled study among neuro-critical care patients.营养治疗中标准肠内配方与含益生元的肠内配方的使用:一项针对神经重症监护患者的随机对照研究。
Clin Nutr ESPEN. 2018 Jun;25:26-36. doi: 10.1016/j.clnesp.2018.03.123. Epub 2018 Mar 30.
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Should fecal microbial transplantation be used in the ICU?粪便微生物移植在 ICU 中是否应该使用?
Curr Opin Crit Care. 2018 Apr;24(2):105-111. doi: 10.1097/MCC.0000000000000489.
3
Bacterial Dissemination to the Brain in Sepsis.脓毒症时细菌向脑部播散。
Am J Respir Crit Care Med. 2018 Mar 15;197(6):747-756. doi: 10.1164/rccm.201708-1559OC.
4
Probiotics for Preventing Ventilator-Associated Pneumonia in Mechanically Ventilated Patients: A Meta-Analysis with Trial Sequential Analysis.益生菌预防机械通气患者呼吸机相关性肺炎:一项采用序贯试验分析的Meta分析
Front Pharmacol. 2017 Oct 9;8:717. doi: 10.3389/fphar.2017.00717. eCollection 2017.
5
Lung Microbiota Is Related to Smoking Status and to Development of Acute Respiratory Distress Syndrome in Critically Ill Trauma Patients.肺微生物群与吸烟状况以及重症创伤患者急性呼吸窘迫综合征的发生有关。
Am J Respir Crit Care Med. 2018 Mar 1;197(5):621-631. doi: 10.1164/rccm.201702-0441OC.
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Microbiome. 2017 Oct 10;5(1):135. doi: 10.1186/s40168-017-0357-4.
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